Philip Cordova, PT | |
11633 Hawthorne Blvd, Suite 201, Hawthorne, CA 90250 | |
(310) 263-1632 | |
(310) 263-1652 |
Full Name | Philip Cordova |
---|---|
Gender | Male |
Speciality | Physical Therapy |
Experience | 22 Years |
Location | 11633 Hawthorne Blvd, Hawthorne, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063598761 | NPI | - | NPPES |
WPT28829A | Other | PPIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT28829 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southern California Sports Rehabilitation Inc. | 0941258156 | 5 |
Provider Name | Southern California Sports Rehabilitation Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568548279 PECOS PAC ID: 0941258156 Enrollment ID: O20050104001093 |
Mailing Address | Practice Location Address |
---|---|
Philip Cordova, PT 1809 East Dyer Rd, Suite 311, Santa Ana, CA 92705 Ph: (949) 863-0022 | Philip Cordova, PT 11633 Hawthorne Blvd, Suite 201, Hawthorne, CA 90250 Ph: (310) 263-1632 |
Caitlin Rose Parr, DPT,PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-269-3400 Fax: 310-822-5451 | |
Mr. Joseph M Nespoli, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 13405 Inglewood Ave, Suite 6, Hawthorne, CA 90250 Phone: 310-263-7140 Fax: 310-273-7232 | |
Mr. Brandt Clark, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 14650 Aviation Blvd, #100, Hawthorne, CA 90250 Phone: 310-725-9018 Fax: 310-325-3041 | |
Kayee Xiong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 310-269-3400 Fax: 310-882-5451 | |
Jennifer Andre, PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-226-9340 Fax: 310-882-5451 | |
Yumi Sugiyama, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11840 S La Cienega Blvd, Hawthorne, CA 90250 Phone: 424-269-3400 Fax: 310-882-5451 |